get $150 back! - globalfit rewards · pdf fileweight management programs designed for youth...
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Support from others can make weight loss feel more manageable. Enroll in Weight Watchers®, Weight Watchers® Online, or an approved weight management program at a network hospital and the Healthy LifestylesSM Weight Management Program will reimburse you up to $150.
How it works1. Sign up for an approved weight
management program.
2. Attend the approved program.
3. Submit documentation and request your reimbursement.
Log on to ibx.com/reimbursements and submit the following documentation:
• If attending Weight Watchers in person, you will need to submit receipts and copies of your booklets.
• If participating in Weight Watchers Online, you should submit screen prints to show proof of payment and progress in the program.
• If attending a hospital-based or youth program, proof of payment and participation is required.
Once all of your documentation is submitted, you can request your reimbursement to be paid by direct deposit or American Express rewards card.*
Achieve Well-beingOur personalized online tools and resources help you achieve what’s important in a way that’s simple, easy, and fun. Visit ibxpress.com to get started today.
Start your well-being journey today! Visit ibxpress.com or download the IBX mobile app.
* Please note that American Express charges a fee of $4.00 plus three percent of the reimbursement amount.
Get $150 back!Enroll in a weight management program
WELL-BEINGACHIEVE
Weight management programs designed for youth and adolescentsReimbursement is available to help with the cost of programs designed for minors. The program must focus on behavior modification, nutrition education, and have a goal of losing weight. Youth programs are commonly available through YMCAs, community centers, and hospitals.
Not reimbursable:• Dietary supplements
• Plans that require the purchase of food products designed for use with the plan
• Injections
• Meal plans; liquid meals
Weight loss programs that are not reimbursable:• Any online program other than Weight
Watchers Online
• Any programs offered at a medical practice other than a hospital
Weight Management Program guidelines
Selecting an approved weight management programChoose Weight Watchers and attend weekly meetings, or opt for an approved weight management program based at a network hospital. Some weight management programs for members under age 18 may also be eligible for reimbursement. If you like, you may join more than one program per year; however, the maximum reimbursement you can receive is $150 per year issued once per calendar year.
Weight management with Weight WatchersThe Weight Watchers program combines in-person group sessions, education, and tools to help you make the nutrition and exercise decisions that are right for you. With Weight Watchers Online, you can create a customized weight loss plan and use online and mobile tools to help you track your progress anywhere you go.
Weight management at network hospitalsMany of our network hospitals offer weight management classes to the community. Programs and schedules vary from hospital to hospital. For more information about available programs, contact the community health education department of your local hospital.
Use the Find a Doctor tool on ibx.com to locate a network hospital in your area, or call 1-800-ASK-BLUE.
You are only eligible for one reimbursement per program, per calendar year.For more information, please contact Healthy Lifestyles at 1-800-590-8880.
® Weight Watchers is a registered trademark of Weight Watchers International, Inc., an independent company.
Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield — independent licensees of the Blue Cross and Blue Shield Association.
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Y0041_HM_17_47643 Accepted 10/14/2016 Taglines as of 10/14/2016
Language Assistance Services
Spanish: ATENCIÓN: Si habla español, cuenta con servicios de asistencia en idiomas disponibles de forma gratuita para usted. Llame al 1-800-275-2583 (TTY: 711).
Chinese: 注意：如果您讲中文，您可以得到免费的语言
协助服务。致电 1-800-275-2583。 Korean: 안내사항: 한국어를 사용하시는 경우, 언어
지원 서비스를 무료로 이용하실 수 있습니다.
1-800-275-2583 번으로 전화하십시오. Portuguese: ATENÇÃO: se você fala português, encontram-se disponíveis serviços gratuitos de assistência ao idioma. Ligue para 1-800-275-2583. Gujarati: �ચૂના: જો તમે �જુરાતી બોલતા હો, તો િન:��ુ� ભાષા સહાય સેવાઓ તમારા માટ� ��લ�� છે. 1-800-275-2583 કોલ કરો.
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، فإن خدمات المساعدة اللغوية العربية ملحوظة: إذا كنت تتحدث اللغة .2583-275-800-1 اتصل برقملك بالمجان. متاحة
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French: ATTENTION: Si vous parlez français, des services d'aide linguistique-vous sont proposés gratuitement. Appelez le 1-800-275-2583. Pennsylvania Dutch: BASS UFF: Wann du Pennsylvania Deitsch schwetzscht, kannscht du Hilf griege in dei eegni Schprooch unni as es dich ennich eppes koschte zellt. Ruf die Nummer 1-800-275-2583. Hindi: �या� द�: यिद आप िहदंी बोलते ह� तो आपके िलए मु�त म� भाषा सहायता सेवाएं �पल�� ह�। कॉल कर� 1-800-275-2583। German: ACHTUNG: Wenn Sie Deutsch sprechen, können Sie kostenlos sprachliche Unterstützung anfordern. Wählen Sie 1-800-275-2583. Japanese: 備考：母国語が日本語の方は、言語アシス
タンスサービス（無料）をご利用いただけます。
1-800-275-2583へお電話ください。
Persian (Farsi): صورت ه ب خدمات ترجمه، فارسی صحبت می کنيدتوجه: اگر
2583-275-800-1با شماره . رايگان برای شما فراھم می باشد .تماس بگيريد
Navajo: D77 baa ak0 n7n7zin: D77 saad bee y1n7[ti’go Diné Bizaad, saad bee 1k1’1n7da’1wo’d66’, t’11 jiik’eh. H0d77lnih koj8’ 1-800-275-2583.
Urdu:
توجہ درکارہے: اگر آپ اردو زبان بولتے ہيں، تو آپ کے لئے کال کريں ۔دستياب ہيں مفت ميں زبان معاون خدمات
.1-800-275-2583
Mon-Khmer, Cambodian: សូ�េ��្ត ចប់�រ�មណ៍៖ ្របសិនេបើអនកនិ�យ���ន-ែខមរ ���ែខមរ េនះជំនួយែផនក��នឹងមនផ្តល់ជូនដល់េ�កអនកេ�យ�តគិតៃថ្ល។ ទូរសពទេទេលខ 1-800-275-2583។
Y0041_HM_17_47643 Accepted 10/14/2016 Taglines as of 10/14/2016
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This Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. This Plan provides:
Free aids and services to people with disabilities to communicate effectively with us, such as: qualified sign language interpreters, and written information in other formats (large print, audio, accessible electronic formats, other formats).
Free language services to people whose primary language is not English, such as: qualified interpreters and information written in other languages.
If you need these services, contact our Civil Rights Coordinator. If you believe that This Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our Civil Rights Coordinator. You can file a grievance in the following ways: In person or by mail: ATTN: Civil Rights Coordinator, 1901 Market St reet , Ph i lade lph ia , PA 19103, By phone: 1-888-377-3933 (TTY: 711) By fax: 215-761-0245, By email: [email protected]. If you need help filing a grievance, our Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.